Barriers to Condom Negotiation and Use Among Female Sex Workers in the United States and United States-Mexico Border Cities: A Systematic Review

Segosebe, Kebafe; Kirwan, Mitchell; Davis, Kelly Cue

doi:10.1007/s10461-023-04009-z

Cited by 4 publications

(2 citation statements)

References 28 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Research is progressively revealing the complex interplay of factors at various levels-individual, societal, structural, and policy-that impede HIV prevention initiatives and hinder the essential uptake of testing among FSWs [9,10]. These factors include the alarming infrequency of condom use [11,12], which is driven by economic, social, and interpersonal relational issues such as poverty, partner refusal, trusting that their regular clients do not have STIs [13], and substance use [14,15]. Nonetheless, research consistently underscores the significance of additional individual-level factors, such as advanced age, limited educational attainment, and a lack of comprehensive HIV-related knowledge [16].…”

Section: Introductionmentioning

confidence: 99%

Examining HIV Knowledge and Sexually Risky Behaviors among Female Sex Workers in Kampala, Uganda

Ssenyonjo,

Mistler,

Adler

et al. 2024

IJERPH

View full text Add to dashboard Cite

HIV incidence remains alarmingly high among female sex workers (FSWs) in Uganda, necessitating targeted interventions. This study aimed to identify individual and provider-level barriers and facilitators to primary HIV prevention among FSWs in an urban setting. Focus groups involving FSWs and healthcare providers (HCPs) were conducted to inform the development of tailored prevention interventions. Results revealed that all participants had mobile phones, recent sexual activity, and a history of HIV testing, with high rates of sexually transmitted infections and varying HIV test results. FSWs displayed a well-informed awareness of HIV transmission risks, emphasizing the threat for those not testing positive. They unanimously recognized the crucial role of HIV testing in informing, mitigating risks, promoting ART use, and endorsing consistent condom usage. Despite heightened awareness, HCPs noted potential underestimation of vulnerability. Various challenges, including inadequate condom usage, substance abuse, and client dynamics, underscored the complexity of safeguarding against HIV transmission among FSWs. Widespread alcohol and drug use, including marijuana, kuber, and khat, served as coping mechanisms and social facilitators. Some FSWs successfully reduced alcohol intake, highlighting challenges in addressing substance use. FSWs preferred group discussions in health education programs, emphasizing peer interactions and the effectiveness of visual aids in HIV prevention education. This study provides comprehensive insights to guide the development of targeted interventions addressing the multi-faceted challenges FSWs face in HIV prevention.

show abstract

Section: Introductionmentioning

confidence: 99%

Examining HIV Knowledge and Sexually Risky Behaviors among Female Sex Workers in Kampala, Uganda

Ssenyonjo,

Mistler,

Adler

et al. 2024

IJERPH

View full text Add to dashboard Cite

show abstract

“…Research is progressively revealing the complex interplay of factors at various levels-individual, societal, structural, and policy-that impede HIV prevention initiatives and hinder the essential uptake of testing among female sex workers (FSWs) [9,10]. These factors include the alarming infrequency of condom use [11,12], driven by economic, social, and interpersonal relational issues such as poverty, partner refusal, and trusting that their regular clients do not have STIs [13], and substance use [14,15]. Nonetheless, research consistently underscores the significance of additional individual-level factors, such as advanced age, limited educational attainment, involvement in sex work within lower-tier venues, and a lack of comprehensive HIV-related knowledge [16].…”

Section: Introductionmentioning

confidence: 99%

Examining HIV Knowledge and Sexual Risky Behaviors Among Female Sex Workers in Kampala, Uganda

Ssenyonjo,

Mistler,

Adler

et al. 2023

Preprint

View full text Add to dashboard Cite

HIV incidence remains alarmingly high among female sex workers (FSWs) in low- and middle-income countries, with Uganda being no exception. The elevated risk of HIV transmission among this vulnerable population can be attributed to a complex interplay of factors, including engaging in sexual activities with multiple partners, inconsistent condom usage, substance use, and structural barriers, such as legal criminalization and pervasive stigmatization by healthcare providers. To combat this epidemic, various HIV prevention interventions have been devised, targeting these multi-faceted challenges. This study involved conducting focus groups among FSWs and healthcare providers in Uganda, with the overarching objective of informing the development of a tailored HIV prevention intervention aimed squarely at FSWs. Through these discussions, valuable insights were gained into FSWs’ perceptions of their HIV risk, their attitudes regarding HIV prevention strategies, and their recommendations regarding the content and delivery of future interventions.

show abstract

Patterns of inconsistent condom use and risky sexual behaviors among female sex workers in Mozambique

Muleia,

Banze,

Damião

et al. 2024

BMC Public Health

View full text Add to dashboard Cite

Barriers to Condom Negotiation and Use Among Female Sex Workers in the United States and United States-Mexico Border Cities: A Systematic Review

Cited by 4 publications

References 28 publications

Examining HIV Knowledge and Sexually Risky Behaviors among Female Sex Workers in Kampala, Uganda

Examining HIV Knowledge and Sexually Risky Behaviors among Female Sex Workers in Kampala, Uganda

Examining HIV Knowledge and Sexual Risky Behaviors Among Female Sex Workers in Kampala, Uganda

Patterns of inconsistent condom use and risky sexual behaviors among female sex workers in Mozambique

Contact Info

Product

Resources

About